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Found 89 results
  1. News Article
    Millions of people in the UK are suffering poor health because they miss out on vital rehabilitation after strokes, heart attacks and cancer, which in turn is also heaping further pressure on the NHS, a damning report warns. Physiotherapists say some groups of patients are particularly badly affected. Without access to these services, many patients desperately trying to recover from illness became “stuck in a downward spiral”, they said, with some developing other health conditions as a result. The new report by the Chartered Society of Physiotherapy (CSP) says millions of people in marginalised communities, including those from ethnic minorities, are not only more likely to live shorter lives, but also spend a greater proportion of their lives struggling with health difficulties. Vital services that could tackle those inequities are either unavailable or poorly equipped to meet their needs, the report warns, adding that “some communities face particular barriers”. Prof Karen Middleton, the chief executive of the CSP, said: “Rehabilitation services have been under-resourced for decades and were not designed coherently in the first place. This has exacerbated poor health outcomes, particularly for people from marginalised groups. “It’s not only the individual who suffers. Without adequate access to rehabilitation, health conditions worsen to the point where more and more pressure is eventually piled on struggling local health systems and other public services. “We desperately need a modernised recovery and rehabilitation service that adequately supports patients following a health crisis and prevents other conditions developing.” Read full story Source: The Guardian, 21 September 2022
  2. Content Article
    Research suggests that there is a wide gap in knowledge about how medical conditions affect men and women differently, and about the conditions that only affect women. As a result, women are receiving poorer medical advice and diagnosis, often leading to worse outcomes. This handbook published by digital healthcare provider Livi looks at some of the evidence surrounding sex-based health inequalities and how they are affecting women in the UK.
  3. News Article
    Dentists in the UK should be encouraged to give antibiotics to patients at high risk of life-threatening heart infection before invasive procedures, a study has found. Research suggests bacteria from the mouth entering the bloodstream during dental treatment could explain 30% to 40% of infective endocarditis cases. The rare but life-threatening condition occurs when the inner lining of the heart chambers and valves become infected. Antibiotics could limit the number of cases and reduce the risk of heart failure, stroke and premature death in high-risk patients, the study says. Current guidelines from the National Institute for Health and Care Excellence (Nice) advise against the routine use of antibiotics before invasive dental procedures for those at risk of infective endocarditis. “Ours is the largest study to show a significant association between invasive dental procedures and infective endocarditis, particularly for extraction and surgical procedures,” said Prof Martin Thornhill from the University of Sheffield, who led the study. Nice should review its guidelines advising against antibiotic prophylaxis, the researchers said. Read full story Source: The Guardian, 19 August 2022
  4. News Article
    Department of Health and Social Care (DHSC) officials are concerned that many more people are dying than expected in recent months – particularly older working-age people – with NHS care delays and interruptions a likely cause. HSJ understands there is concern and analysis under way across the chief medical officer’s team and in the Office for Health Improvement and Disparities. The DHSC told HSJ initial work showed the biggest causes of the “excess deaths” were cardiovascular disease (heart attacks and strokes) and diabetes. This supports the case they are being caused by a combination of the current very long delays for ambulances and other emergency care, and by people with heart disease and diabetes missing out on routine checks due to Covid and its knock-on effects, HSJ was told. Read full story (paywalled) Source: HSJ, 17 August 2022
  5. Content Article
    These Quality Standards have been developed by the Resuscitation Council UK. They enable healthcare organisations provide a high-quality resuscitation service, with guidance tailored for different settings including acute care, primary care, dental care, mental health units, community hospitals and in the community.
  6. News Article
    One in 25 people who die of a heart attack in the north-east of England could have survived if the average cardiologist effectiveness was raised to the London level, research shows. The research, undertaken by the Institute for Fiscal Studies (IFS), looked at the record of over 500,000 NHS patients in the UK, over 13 years. It highlights the stark “postcode lottery” of how people living in some parts of the country have access to lower quality healthcare. The results found that while cardiologists treating patients in London and the south-east had the best survival rates among heart attack patients, patients being treated in the north-east and east of England had the worst. Among 100 otherwise identical patients, an additional six patients living in the north-east and east of England would have survived for at least a year if they had instead been treated by a similar doctor in London. Furthermore, if the effectiveness of doctors treating heart attacks in these areas of the country were just as effective as the cardiologists in London, an additional 80 people a year in each region would survive a heart attack. The research also revealed a divide between rural and urban areas of England, with patients living in the former typically receiving treatment from less effective doctors compared with those in more urban areas. Read full story Source: The Guardian, 9 August 2022
  7. Event
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    Collaboration to deliver NHS Long Term Plan goals on CVD and Population Health Management A novel injectable treatment for people at risk of cardiovascular disease is being made available to patients more quickly, thanks to a three-way agreement between NHS England and NHS Improvement, the AHSN Network and the pharmaceutical company, Novartis. Inclisiran is the first of a new type of cholesterol-lowering therapy, which uses RNA interference (RNAi) to boost the liver’s ability to remove harmful cholesterol from the blood. It can be given to people with high cholesterol who have already had a previous cardiovascular event to reduce the chances of them having another. This webinar will introduce this innovative injectable therapy, explore it’s its place on the treatment pathway, and how it can support both the NHS Long Term Plan dual ambitions of reducing cardiovascular disease and through Population Health Management. Register for the webinar
  8. Content Article
    This briefing examines the results of a US study which showed that 80% of patients that have an infection from a cardiac implant are not treated according to clinical practice guidelines, increasing their chances of death from infection. When patients with implantable cardiac devices have an infection, current guidelines state that these devices should be removed, however, this did not happen for the majority of the 1,065,549 Medicare patients included in the study that had a cardiac implant infection between 2006 and 2019.
  9. News Article
    Stroke and heart attack victims are now routinely waiting more than an hour for an ambulance, after a further fall in performance in recent weeks, and with hospital handover delays hitting a new high point, HSJ reveals. Figures for ambulance performance this week, seen by HSJ, showed average response times for category two calls at more than 70 minutes for successive days. 3,000 patients may have suffered “severe harm” from delays in February, ambulance chief executives say. Several well-placed sources in the sector said response times had deteriorated further this month, and that more than half of ambulance trusts were this week seeing average category two responses of longer than an hour. Some cited an average category two response last week of around 70 minutes, with the services under huge pressure from a combination of demand, long handover delays, and covid-related sickness. Category two calls include patients with suspected heart attacks and strokes, and the national target for reaching them is 18 minutes. The figures seen by HSJ for this week showed average response times for category one calls — the most serious, including cardiac arrests and other immediately life threatening emergencies — of more than 10 minutes on Wednesday, against a target of just 7 minutes. Monthly average performance for category one has never reached 10 minutes. Read full story (paywalled) Source: HSJ, 1 April 2022
  10. Content Article
    This study in Nature Medicine aimed to characterise post-acute cardiovascular manifestations of Covid-19 that had not yet been comprehensively researched. The authors used national healthcare databases from the US Department of Veterans Affairs to build a cohort of 153,760 individuals with Covid-19, as well as two sets of control cohorts with 5,637,647 (contemporary controls) and 5,859,411 (historical controls) individuals, to estimate risks and one-year burdens of a set of pre-specified cardiovascular outcomes. The study demonstrated that, following the initial 30 days after infection, individuals with Covid-19 are at increased risk of incident cardiovascular disease, including cerebrovascular disorders, dysrhythmias, ischemic and non-ischemic heart disease, pericarditis, myocarditis, heart failure and thromboembolic disease. These risks were evident even among individuals who were not hospitalised during the acute phase of the infection and increased in a graded fashion according to the care setting during the acute phase (non-hospitalised, hospitalised and admitted to intensive care). The authors conclude the risk and one-year burden of cardiovascular disease in survivors of acute Covid-19 are substantial, and that pathways should include attention to cardiovascular health and disease.
  11. Event
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    CVDPREVENT will provide a foundation for professionally-led quality improvement in individual GP practices across Primary Care Networks (PCNs). It will support primary care in understanding how many patients with CVD and/or the six main high-risk conditions are potentially undiagnosed, or under or over treated. These include atrial fibrillation, high blood pressure, high cholesterol, diabetes, non-diabetic hyperglycaemia and chronic kidney disease. The audit will provide data to highlight gaps, identify inequalities, and opportunities for improvement. This event will be the first publicised presentation of the CVD publication, being presented live by Dr Pete Green, Clinical Lead CVD Prevent & Chair, Heart UK. This event has been sponsored by Daiichi Sankyo UK. This webinar is for Govconnect registered members who are UK healthcare professionals and allied personnel in commissioning, AHSN and health policy only. Speakers: Dr Yassir Javaid, Clinical Advisor for Cardiology, Royal College of GPs Dr Pete Green, Clinical Lead CVD Prevent & Chair, Heart UK Vishal Mashru, Head of Medicines & Research, Cross Counties & North Blaby PCN Dr Ravi Pawa, Country Medical Director, Daiichi Sankyo Register
  12. News Article
    Even a mild case of COVID-19 can increase a person’s risk of cardiovascular problems for at least a year after diagnosis, a new study1 shows. Researchers found that rates of many conditions, such as heart failure and stroke, were substantially higher in people who had recovered from COVID-19 than in similar people who hadn’t had the disease. What’s more, the risk was elevated even for those who were under 65 years of age and lacked risk factors, such as obesity or diabetes. “It doesn’t matter if you are young or old, it doesn’t matter if you smoked, or you didn’t,” says study co-author Ziyad Al-Aly at Washington University in St. Louis, Missouri, and the chief of research and development for the Veterans Affairs (VA) St. Louis Health Care System. “The risk was there.” People who had recovered from COVID-19 showed stark increases in 20 cardiovascular problems over the year after infection. For example, they were 52% more likely to have had a stroke than the contemporary control group, meaning that, out of every 1,000 people studied, there were around 4 more people in the COVID-19 group than in the control group who experienced stroke. The risk of heart failure increased by 72%, or around 12 more people in the COVID-19 group per 1,000 studied. Hospitalization increased the likelihood of future cardiovascular complications, but even people who avoided hospitalization were at higher risk for many conditions. “I am actually surprised by these findings that cardiovascular complications of COVID can last so long,” Hossein Ardehali, a cardiologist at Northwestern University in Chicago, Illinois, wrote in an e-mail to Nature. Because severe disease increased the risk of complications much more than mild disease, Ardehali wrote, “it is important that those who are not vaccinated get their vaccine immediately”. Read full story Source: Nature, 10 February 2022
  13. Content Article
    Non-communicable diseases (NCDs) including cardiovascular disease, cancer, chronic respiratory disease and diabetes, are leading causes of morbidity, disability and mortality in the WHO European Region, causing nearly 90% of all deaths and 67% of premature deaths. The World Health Organization (WHO) Regional Office for Europe has released the WHO Europe NCD Dashboard, which provides graphical data on NCDs in the 53 Member States of the Region and makes comparisons between them. The dashboard enables analysis of a country’s health situation and its progress towards meeting NCD health targets. It includes standardised data from national and international registries and surveys collected by countries, WHO and other international organisations
  14. News Article
    Experts have estimated that almost 300,000 people in Britain could have a potentially deadly heart valve disease called aortic stenosis - including almost 100,000 who are unaware they have it. The condition carries a high death rate if left untreated and occurs when the main valve which takes blood from the heart stiffens and narrows. Many people do not know they have the disease and only discover they do when it is too late for treatment. An international team of scientists, including experts from the Universities of Glasgow and Southampton, set out to research the extent of the disease in the UK. Their study, published in the journal Open Heart, estimated that in the UK in 2019 there were 291,448 men and women aged 55 and over with severe aortic stenosis. Of these, an estimated 68 per cent would have symptoms. This means an estimated 92,389 people have the disease and do not know it. The authors went on to estimate that more than 172,000 (59%) who have the disease will “die within five years without proactive management”. They concluded that aortic stenosis is a “common condition” in the UK but warned that “without appropriate detection and intervention, survival prospects are likely to be poor”. Read full story Source: The Independent, 25 January 2022
  15. News Article
    A US hospital has rejected a patient for a heart transplant at least in part because he is not vaccinated against COVID-19. DJ Ferguson, 31, is in dire need of a new heart, but Brigham and Women's Hospital in Boston took him off their list, said his father, David. He said the Covid vaccine goes against his son's "basic principles, he doesn't believe in it". The hospital said it was following policy. Brigham and Women's Hospital told the BBC in a statement: "Given the shortage of available organs, we do everything we can to ensure that a patient who receives a transplanted organ has the greatest chance of survival." A spokesman said the hospital requires "the Covid-19 vaccine, and lifestyle behaviours for transplant candidates to create both the best chance for a successful operation and to optimise the patient's survival after transplantation, given that their immune system is drastically suppressed". The hospital's carefully worded statement may suggest other factors lie beyond the patient's unvaccinated status for his ineligibility, but it refused to discuss specifics, citing patient privacy. Dr Arthur Caplan, head of medical ethics at NYU Grossman School of Medicine, told CBS News that after any organ transplant a patient's immune system is all but shut down and even a common cold can prove fatal. "The organs are scarce, we are not going to distribute them to someone who has a poor chance of living when others who are vaccinated have a better chance post-surgery of surviving," said Dr Caplan. Read full story Source: BBC News, 26 January 2022
  16. Content Article
    This study in JAMA Network Open sought to determine whether limited English proficiency (LEP) is associated with not reporting a history of cardiovascular disease among patients with angina symptoms. The study found that patients reporting symptoms of angina were more likely to not report having cardiovascular disease if they had limited English proficiency. This discrepancy may be because of higher rates of undiagnosed cardiovascular disease or lower awareness of such diagnoses among individuals with LEP. The authors highlight the importance of finding effective communication strategies for people with LEP in order to make prevention and treatment for cardiovascular disease more effective.
  17. News Article
    An ambulance trust has apologised after a man having a heart attack said he was advised to get a lift to hospital or face a long wait. Graham Reagan said he was on the verge of collapsing when he finally got to York hospital after a lift from his son. Mr Reagan said he was concerned about the impact on patients with potentially life-threatening conditions. Speaking to BBC Yorkshire and Lincolnshire's Politics North programme, Mr Reagan described his experience as "scary". "I'd had indigestion, or so I thought, for a couple of days, and then on 17 December I went to bed early feeling rough," he said. In the early hours, Mr Reagan said the pains in his chest grew worse and he asked his wife to call for an ambulance. "I couldn't take it any more," he said. Mr Reagan, from Malton in North Yorkshire, said his wife was asked "can you get to hospital" as the nearest ambulance was about 20 to 30 miles away. "My wife doesn't drive, but fortunately my son was with us and he drove me to York hospital." On arrival Mr Reagan said they found the entrance to A&E had also been re-routed. "So, we then had to walk out of the hospital grounds and back in - by which time I'm collapsing," he added. He said staff at the hospital were "absolutely brilliant" and arranged for him to be transferred to Hull for treatment after a heart attack was confirmed. However, he said he was faced with a further 35-minute delay while he waited for an ambulance to take him. Mr Reagan said he wanted to share his experience to raise awareness. Read full story Source: BBC News, 16 January 2022
  18. Event
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    At a time when deaths from coronary heart disease and stroke are markedly declining, despite the COVID-19 pandemic, deaths from heart failure are increasing. The management of this devastating long-term condition is estimated to account for 2% of the entire NHS budget, with 70% of this spent on acute hospital admissions. Both prevalence and incidence of heart failure increase steeply with increasing age and with deprivation but outcomes for patients are improved with earlier diagnosis and treatment. Join the King's Fund for this free online event, where we will consider how heart failure is a growing population health problem and the solutions to help overcome the challenges this condition presents. These include preventing the underlying causes of heart failure, as well as identifying risk factors for the condition, such as access to diagnosis, particularly for older people and those from more deprived communities. Register
  19. Content Article
    Professor Ahmet Fuat, North East and North Cumbria Cardiac Network Heart Failure Lead, shares how one tool is helping reduce the current pressures and deliver better outcomes for patients. NT-proBNP testing – a NICE recommended diagnostic tool – is being used to rule out heart failure in primary care. In the North East and North Cumbria, patients must have an NT-proBNP test to be referred for an echocardiogram. This mandated testing helps them to streamline the diagnosis journey for heart failure patients by confirming or ruling out heart failure at the earliest possible opportunity, and reducing unnecessary referrals for echos. For patients, this saves time and distress, and for GPs and Nurse Practitioners, which reduces the number of repeat visits these patients often need to make.
  20. Content Article
    The Cardiovascular Disease Prevention Audit (CVDPREVENT) is a national primary care audit that automatically extracts routinely held GP data. This tool provides open access to the data, with clear, actionable insights for those tasked with improving cardiovascular health in England.
  21. Content Article
    In this blog Dr Peter Green, CVDPREVENT Workstream Clinical Lead for the NHS Benchmarking Network, looks at the importance of understanding how demographic factors impact the risk of cardiovascular disease, which is a leading risk factor for premature death. He discusses how the CVDPREVENT audit will help primary care healthcare professionals work with their patients to achieve better outcomes for all.
  22. Content Article
    This is the first annual report for CVDPREVENT, an audit commissioned by the Healthcare Quality Improvement Partnership (HQIP) as part of the National Clinical Audit and Patient Outcomes Programme (NCAPOP). It presents analysis of data recorded by GPs up to March 2020, providing a pre-pandemic baseline for indicators of cardiovascular disease (CVD) prevention. The analysis focuses on understanding variation in identification, diagnosis and management of people at risk of CVD against metrics of deprivation, age, sex, and ethnicity. There has also been further analysis undertaken on comorbidities amongst those with conditions that put them at a higher risk of cardiovascular disease.
  23. Content Article
    This article in the journal Resuscitation examines the needs of the 'forgotten patient' in out-of-hospital cardiac arrests (OHCA), which have a mortality rate of between 80 and 90%. Unlike many other critical illnesses, family members and partners often witness the collapse or have to perform CPR on their friend or loved one. The traumatic burden associated with these events can be significant, resulting in unique psychosocial needs both for survivors and those who witness or perform CPR. The partner or caregiver may struggle to deal with the fear, anxiety and guilt associated with the arrest, CPR provision and subsequent care upon discharge of their loved ones from hospital. This often makes the caregiver a ‘forgotten patient’ and there is growing literature examining the high levels of stress, anxiety, anger and confusion experienced by caregivers of survivors in the first 12 months after OHCA.
  24. Content Article
    This patient decision aid from the National Institute for Health and Care Excellence (NICE) aims to help patients with high blood pressure understand the risks and benefits of different treatment options so that they can make an informed decision about their care.
  25. News Article
    A new study by Staffordshire University shows that people who understand their ‘heart age’ are more likely to make healthy lifestyle changes. 50 preventable deaths from heart attack or stroke happen every day and Public Health England’s online Heart Age Test (HAT) allows users to compare their real age to the predicted age of their heart. The tool aims to provide early warning signs of cardiovascular disease (CVD) risk, encouraging members of the public to reduce their heart age through diet and exercise and to take up the offer of an NHS Health Check. CHAD Research Associate Dr Victoria Riley, who led the study, said: “Deaths from heart attack or stroke are often preventable and so addressing health issues early is incredibly important. Our findings show that pre-screening tests, such as the HAT, can encourage individuals to evaluate their lifestyle choices and increase their intentions to change behaviour.” Read full story Source: Brigher Side of News, 10 October 2021
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